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Home My WebLink AboutPermit EL11-0128 - MADRONA SPECIALTY FOODSThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. EL11 -0128 Madrona Foods 18475 Olympic Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 10 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. MADRONA FOODS 18475 OLYMPIC AV S EL11-0128 Parcel No.: Address: Tenant Name: City lit Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite # 100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us 7888900111 18475 OLYMPIC AV S TUKW MADRONA FOODS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0128 02/17/2011 08/16/2011 Owner: Name: RRP LA PANZANELLA LLC Address: 1808 PARKSIDE DR E , SEATTLE WA 98112 Contact Person: Name: PAT BOTD Phone: 206 - 423 -6239 Address: 19754 SE 128 WY , ISSAQUAH WA 98027 Contractor: Name: LAKES ELECTRIC INC Address: 19754 SE 128 WY , ISSAQUAH WA 98027 Contractor License No: LAKESEI101MC Phone: 206 235 -9786 Expiration Date: 07/03/2012 DESCRIPTION OF WORK: ELECTRIC CORRECTIONS AS PER INSPECTOR. REMOVE CORDS, INSTALL CONDUITS. Value of Electrical Work: NRES: $7,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $212.90 National Electrical Code Edition: 2008 Date: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: Print Name: Date: This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -9/09 EL 11 -0128 Printed: 02 -17 -2011 PERMIT CONDITIONS Permit No. EL11 -0128 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 5: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 6: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. doc: EL -9/09 EL11 -0128 Printed: 02 -17 -2011 CITY OF TUKWfA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httd://www.ci.tukwila.wa.us Electrical Permit No. EL—t, t 0 Project No. (For office use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION King Co Assessor's Tax No.: 7 et 6-q0 — 0 ( t l Site Address: // 6 p V )S7 7 .9e' ri, /,/ /2.Q ,f O Suite Number: Tenant Name: /07,, )7,/g D //,1 / Z O,,c Property Owners Name: Mailing Address: _Cl--"S"11 New Tenant: Floor: ❑ Yes ® .. No 72VI i 2 / I City Gei' State 92/s P Zip CONTACT PERSON – Who do we contact when your permit is ready to be issued Name: Mailing Address: /9 %SY I / /7LJW E -Mail Address: Day Telephone: gd - "zJ -'67J /1ST «.1 9 2 0,2 City State Zip Fax Number: 9' a.2:5–"" v7 %/ – S - ELECTRICAL CONTRACTOR INFORMATION Company Name: G Mailing Address: / 9) f 9 f C / f Contact Person: E -Mail Address: Contractor Registration Number:/ f,L/ 'S G` I / by City State Zip/ Day Telephone: 2 O6 j21 O 6,2 J9 Fax Number: nn Expiration Date: ) "3 - 070/2-- Valuation of Project (contractor's bid price): $ / 9 9 0 ° _ Scope of Work (please provide detailed information): �G fie/ ` J 11,/t'G7� aif //,- .f/5L-z7 OZ. /€/''t/ o` Z° o/:a //- r-i'z 6 e- Will service be altered? ❑ Yes J No Adding more than 50 amps? ❑ Yes gl No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change (a Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ® Puget Sound Energy ❑ Seattle City Light H:\Applications\Fonns- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 IDate Application Accepted: RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR Signature: Print Name: /1'42 e a g Mailing Address: / ;? Date: ,92 'l' "/! Day Telephone: 9 4)6 1- V2J City State Zip Date Application Expires: Staff Initials: H:1Applications\Forms- Applications On Linee2010 Applications17 -2010 • Electrical Permit Application.doc bh Page 2 of 2 1 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 7888900111 Address: 18475 OLYMPIC AV S TUKW Suite No: Applicant: MADRONA FOODS RECEIPT Permit Number: EL11 -0128 Status: PENDING Applied Date: 02/17/2011 Issue Date: Receipt No.: R11 -00304 Payment Amount: $212.90 Initials: WER Payment Date: 02/17/2011 10:05 AM User ID: 1655 Balance: $0.00 Payee: LAKES ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 10870 212.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 212.90 Total: $212.90 doc: Receipt-06 Printed: 02 -17 -2011 74.r7:"9" '"•".. 73751":7 417 — X.:w T.: ^ NI; w- . INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: k ::f5A, Type of Inspection: 1 Address: �� 00/91,1& Date Called: :Ns Instructions: Date Wanted: 3 t � a.m. P.m. Requester: Phone No: )KI Approved per applicable codes. Corrections required prior to approval. COMMENTS: ozsktic-71 045 r1A-P J Inspector: -' • • +:• REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Y • INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. - CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 th,'-y38 Project: A Type of Inspection: ,j Address: 1r • Date Called: Special Instructions: • Date Wanted: l a.m. Requester: !!! Phone No: 0Ap'proved per applicable codes. COMMENTS: •°' Ana' (01, ‘01/2.1,4 690)661,007 Corrections required prior to approval. 111-ti&F per ei *nom Seqc Aikrid PesiDA4r Inspector: (Date: n REINSPECTIQN FEE REQUIRED. Prior to -nexit inspection, fee must be paid at 6300 Southcenter Blvd:; Suite 100. Call to schedule reinspection. q^.• z►• :7"n TrEVE 20. 'Se• •7r" i! 44 Via Cry- "n'Sr. '.. • . -r-Sf Yzcbs ., Contractors or Tradespeople Prier Friendly Page 40 Electrical Contractor A business licensed by L$I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name LAKES ELECTRIC INC UBI No. 601249946 Phone 2064236239 Status Active Address 19754 Se 128Th Way License No. LAKESEI101MC Suite /Apt. License Type Electrical Contractor City Issaquah Effective Date 7/3/1990 State WA Expiration Date 7/3/2012 Zip 98027 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Electrical Administrator INFORMATION License BOYD *P *101 CC Name BOYD, PAT Status Active Business Owner Information Name Role Effective Date Expiration Date BOYD, PAT M Violation Amount 01/01/1980 6/8/2010 BOYD, KATHY A ELECTRICAL CITATION 01/01/1980 $250.00 WICHMAN, BRIAN Agent 01/01/1980 ELECTRICAL CITATION Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 5/24/1990 Until Released Bond $4,000.00 Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EJORP03856 6/8/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP03858 6/8/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 02/17/2011